| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $599.44 | $599.44 | $4,338.00 | |
Medica
| Facility | $725.56 | $904.69 | $1,500.61 | |
Midlands
| Facility | $1,076.81 | $1,462.46 | $3,276.96 | |
Sanford Health Plan
| Professional | $696.79 | $958.00 | $1,147.59 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |